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Adrian Eloy Avitia

Physical Therapy Assistant in Albuquerque, NM. Individual provider (NPI-1).

NPI number1972069060
StatusActive
Last updated in NPPESFeb 14, 2019

Details

NPI
1972069060
Entity type
Individual (NPI-1)
Name
Adrian Eloy Avitia
Sex
Male
Sole proprietor
No
Enumeration date
Feb 14, 2019
Last updated
Feb 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA1625NMYes

Practice location

205 Anna Maria Pl Sw
Albuquerque, NM 87105-6480

Phone 505-977-4948

Mailing address

205 Anna Maria Pl Sw
Albuquerque, NM 87105-6480

Phone 505-977-4948

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